The otoplasty procedure varies depending on the type and extent of correction needed. Typically, the surgeon makes an incision behind the ear or in the natural folds of the ear. The surgeon then removes excess skin and cartilage, reshapes the ear, and repositions it closer to the head if necessary. The incision is closed with stitches or sutures. Otoplasty is always performed under general anesthesia, at the surgeon’s discretion.